J Korean Surg Soc.
1997 Sep;53(3):415-431.
Major Complications after Orthotopic Liver Transplantations
- Affiliations
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- 1Department of Surgery, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 2Department of Pediatrics, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 3Department of Radiology, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 4Department of Plastic Surgery, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 5Department of Anesthesiology, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 6Department of Pathology, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 7Department of Laboratory Medicine, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
- 8Department of Internal Medicine, College of Medicine, and Asan Medical Center, University of Ulsan, Seoul, Korea.
Abstract
- A retrospective study was conducted to determine the incidence of major complications after liver transplantations which had been performed at Asan Medical Center from August 1992 to October 1996. Among the 43 orthotopic liver transplantations(OLTs), 27 were cadaveric donor liver transplantation(CDLT) including one retransplantation, 16 were living donor liver transplantation(LDLT). The over-all incidence of major complication was 52.4%, and there were no statistical difference between CDLT and LDLT. But the one-year cumulative survival was better in LDLT than CDLT(86.2% vs 63.3% : p < 0.1). To reduce the incidence of major complications after OLT, proper management of donors, early transplantation of recipients and shortening of cold ischemic time are mandatory especially in CDLT.
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